Healthcare Provider Details

I. General information

NPI: 1881385557
Provider Name (Legal Business Name): MOJO HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 ARTESIA BLVD STE 206A
CERRITOS CA
90701-4060
US

IV. Provider business mailing address

11911 ARTESIA BLVD STE 206A
CERRITOS CA
90701-4060
US

V. Phone/Fax

Practice location:
  • Phone: 714-718-0864
  • Fax: 800-606-4517
Mailing address:
  • Phone: 714-718-0864
  • Fax: 800-606-4517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIETA DALPHIN
Title or Position: CEO
Credential:
Phone: 714-718-0864